Evidence map›Paper›PMID 20456355›Full record

Trial reportBritish journal of haematology2010

A phase I study of vorinostat in combination with idarubicin in relapsed or refractory leukaemia.

Tapan M Kadia, Hui Yang, Alessandra Ferrajoli, Sirisha Maddipotti, Claudia Schroeder, Timothy L Madden, Julianne L Holleran, Merrill J Egorin, Farhad Ravandi, Deborah A Thomas and 6 more

Open access · bronzeAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in British journal of haematology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Phase II trial of vorinostat with idarubicin and cytarabine for patients with newly diagnosed acute myelogenous leukemia or myelodysplastic syndrome.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2012
    Trial
  4. Review
  5. Article
  6. Review
  7. Review
  8. HDAC Inhibition Induces MicroRNA-182, which Targets RAD51 and Impairs HR Repair to Sensitize Cells to Sapacitabine in Acute Myelogenous Leukemia.Clinical cancer research : an official journal of the American Association for Cancer Research · 2016
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Metabolism as a key to histone deacetylase inhibition.Critical reviews in biochemistry and molecular biology · 2011
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 2 countries.

Tapan M KadiaDepartment of Leukemia, University of Texas M. D. Anderson Cancer Center, Houston, TX 77030, USA.
Hui Yang
Alessandra Ferrajoli
Sirisha Maddipotti
Claudia Schroeder
Timothy L Madden
Julianne L Holleran
Merrill J Egorin
Farhad Ravandi
Deborah A Thomas
Willie Newsome
Blanca Sanchez-Gonzalez
James A Zwiebel
Igor Espinoza-Delgado
Hagop M Kantarjian
Guillermo Garcia-Manero
The University of Texas MD Anderson Cancer Center · USUniversity of Pittsburgh · USHospital Del Mar · ES

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
Paul Calabresi Clinical Oncology AwardK12CA088084 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI David S. Hong, Scott Kopetz · 2000 to 2026
$14.0M
Phase I Studies of Targeted Anti-Cancer TherapiesU01CA062461 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI YAO, JAMES C · 1994 to 2013
$7.2M
NCI NIH HHS 2 UO1 CA062461-15NCI NIH HHS K12 CA088084NCI NIH HHS K12-CA088084NCI NIH HHS N01-CO-124001NCI NIH HHS P30 CA016672NCI NIH HHS P30 CA047904NCI NIH HHS P30 CA47904NCI NIH HHS U01 CA062461
6 · The paper itself

Abstract

Histone deacetylase inhibitors (HDACi) affect chromatin remodelling and modulate the expression of aberrantly silenced genes. HDACi have single-agent clinical activity in haematological malignancies and have synergistic anti-leukaemia activity when combined with anthracyclines in vitro. We conducted a two-arm, parallel Phase I trial to investigate two schedules of escalating doses of vorinostat (Schedule A: thrice daily (TID) for 14 d; B: TID for 3 d) in combination with a fixed dose of idarubicin in patients with refractory leukaemia. Of the 41 patients enrolled, 90% had acute myeloid leukaemia, with a median of 3 prior therapies. Seven responses (17%) were documented (two complete response (5%), one complete response without platelet recovery (2.5%), and four marrow responses). The 3-d schedule of vorinostat was better tolerated than the 14-d schedule. The maximum tolerated dose for vorinostat was defined as 400 mg TID for 3 d. The most common grade 3 and 4 toxicities included mucositis, fatigue and diarrhoea. Correlative studies demonstrated histone acetylation in patients on therapy and modulation of CDKN1A and TOP2A (topoisomerase II) gene expression. Pharmacokinetic analysis confirmed a dose-related elevation in plasma vorinostat concentrations. The combination of vorinostat and idarubicin is generally tolerable and active in patients with advanced leukaemia and should be studied in the front-line setting.

Indexed as

AcetylationAcute DiseaseAdultAgedAged, 80 and overAntigens, NeoplasmAntineoplastic Combined Chemotherapy ProtocolsCyclin-Dependent Kinase Inhibitor p21DNA-Binding ProteinsDNA Topoisomerases, Type IIDose-Response Relationship, DrugFemaleHistonesHumansHydroxamic AcidsIdarubicinAntigens, NeoplasmCDKN1A protein, humanCyclin-Dependent Kinase Inhibitor p21DNA-Binding ProteinsDNA Topoisomerases, Type IIHistonesHydroxamic AcidsIdarubicinPoly-ADP-Ribose Binding ProteinsRNA, MessengerTOP2A protein, humanVorinostat

Identifiers

PMID20456355
PMCPMC4124904
OpenAlexW1599280433

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.